Superior Mesenteric Artery Syndrome Four Months Following Sleeve Gastrectomy

 

Presented by Allison M Barrett, MD at the SAGES 2014 Meeting; Panel – Concurrent Session SS1 MIS/Solid Organ


case report–39 sec
CT scan–53 sec
duplex–1:03
SMA description with citation link–1:24 http://www.ncbi.nlm.nih.gov/pubmed/?term=18646483
SMA dx with citations–1:43 http://www.ncbi.nlm.nih.gov/


Keyword(s): 2nd portion of the duodenum, 3rd portion of the duodenum, air, aorta, average aorto-mesenteric angle, average aorto-mesenteric distance, bariatric population, bilious emesis, BMI, case report, clamp off, closure of common defect, CO2, compromise, cranially, creation of enterotomies, CT scan, CT/duplex, decreased angle, dependent portion, diagnostic criteria, discharged home, division of ligament of Treitz, dramatic improvement, duodenal mobilization, duodenal site of anastomosis, EGD, emesis, endoscope, endoscopy, epigastric pain, excessive distention of the SB, female, flexible endoscope, follow-up, fully mobilized, functional obstruction, gastrojejunostomy, hand sewn two-layer fashion, hemostatic, identification of colic vessels, identification of limb of jejunum, insufflation, intraluminal view, intraoperative endoscopy, irrigation, jejunum, laparoscopic duodenojejunostomy, laparoscopic sleeve gastrectomy, laparoscopy, LAPRA-TY, lateral side-to-side anastomosis, leak test, left lateral decubitus position, linear stapler, liquid diet, management, mesenteric artery duplex, methylene blue, middle colic vessels, narrow, narrowing of the duodenum, non-specific symptoms, orient, oversewing of defect, placement of stay suture, POD 2, POD 5, positional changes, post-op, postprandial fullness, precipitated, prevent, prone, PRX angle, pulsatile vessels, radiologic criteria, rare dx, reflection of transverse colon, S/P, SMA syndrome, SMA/aortic pulsations, stapling of anastomosis, Strongs procedure, success rate, successful option, supine, surgical options, suture line, symptom relief, technically feasible, techniques, transverse mesocolon, unrelenting nausea, upper GI study, Vicryl suture, weight loss, white load 45 mm stapler, widely patent

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Allison Marie Barrett MD, MA
Uploaded on
02/11/2015
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